| NPI | 1265054118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2103453) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C2002454TRNE) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2023-02-16 |